Individual provider Active NPI

Mary Katlyn Miller, LPC, NCC

  • Professional Counselor
  • Moon Township, PA
National Provider Identifier
1194278465
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008766 Issued in PA
Practice address
1150 Thorn Run Rd
Suite 110
Moon Township, PA 15108-3102
Phone
(412) 329-7778
NPI assigned
Aug 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X PC008766 PA Primary

Addresses

Primary practice location

1150 Thorn Run Rd
Suite 110
Moon Township, PA 15108-3102

Mailing address

1150 Thorn Run Rd
Suite 110
Moon Township, PA 15108-3102
Phone (412) 329-7778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC008766PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Relation Works Current Accepting new patients
Associates in Behavioral Diagnostics and Treatment, LLC Multi-Specialty PastSince Oct 16, 2025 Accepting new patients
Associates in Behavioral Diagnostics and Treatment, LLC Professional PastSince Apr 28, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1194278465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 THORN RUN RD",
            "address_2": "SUITE 110",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151083102",
            "telephone_number": "412-329-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 THORN RUN RD",
            "address_2": "SUITE 110",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151083102",
            "telephone_number": "412-329-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARY",
        "middle_name": "KATLYN",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.